Provider Demographics
NPI:1376249979
Name:OLLAR, PATRICK (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:
Last Name:OLLAR
Suffix:
Gender:M
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2435 MARCONI AVE
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95821-4807
Mailing Address - Country:US
Mailing Address - Phone:916-313-8420
Mailing Address - Fax:916-436-5543
Practice Address - Street 1:732 S 6TH ST # 4912
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-6948
Practice Address - Country:US
Practice Address - Phone:702-551-2522
Practice Address - Fax:702-344-2986
Is Sole Proprietor?:No
Enumeration Date:2023-02-06
Last Update Date:2025-06-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA95186979163WP0808X
NV876560363LP0808X
CA95032182363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health